Organization Active NPI

Groerich Chiropractic and Wellness LLC

  • Chiropractor
  • Richmond Heights, MO
National Provider Identifier
1083163372
Registry record updated Sep 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2015001863 Issued in MO
Legal business name
GROERICH CHIROPRACTIC AND WELLNESS LLC
Practice address
1034 S Brentwood Blvd Ste 300B
Richmond Heights, MO 63117-1203
Phone
(314) 456-2761
Fax
(314) 644-2309
NPI assigned
Sep 27, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. John Groerich, DCNPI 1194115998
Title
Owner
Phone
(314) 456-2761

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2015001863 MO Primary

Addresses

Primary practice location

1034 S Brentwood Blvd Ste 300B
Richmond Heights, MO 63117-1203

Mailing address

1034 S Brentwood Blvd Ste 300B
Richmond Heights, MO 63117-1203
Phone (314) 456-2761

Other names 1

  • Groerich Chiropractic Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20161108001786 MO Part B Supplier - Clinic/Group Practice 4587943956 Receives reassigned benefits from 1 practitioner
Practice locations: Clayton, MO

National Provider Directory

National Provider Directory

Locations

950 Francis Pl
Ste 217
Saint Louis, MO 63105
Phone (314) 502-7637

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474934400000",
    "number": "1083163372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD STE 300B",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171203",
            "telephone_number": "314-456-2761",
            "fax_number": "314-644-2309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD STE 300B",
            "city": "RICHMOND HEIGHTS",
            "state": "MO",
            "postal_code": "631171203",
            "telephone_number": "314-456-2761",
            "fax_number": "314-644-2309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROERICH CHIROPRACTIC AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-27",
        "last_updated": "2016-09-27",
        "status": "A",
        "authorized_official_last_name": "GROERICH",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "314-456-2761",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MO",
            "license": "2015001863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Groerich Chiropractic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Richmond Heights, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.